| 3D mammogram (tomosynthesis) |
$160 |
$160 |
$72 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$2,855 |
$2,855 |
$1,713 |
$284 | |
| Abdominal ultrasound |
$1,399 |
$1,399 |
$454 |
$100 | |
| Abdominal ultrasound (complete) |
$1,668 |
$1,668 |
$467 |
$114 | |
| Abdominal ultrasound (limited) |
$1,130 |
$1,130 |
$441 |
$86 | |
| Abscess drainage (complex or multiple) |
$729 |
$729 |
$519 |
$220 | |
| Abscess drainage (simple) |
$662 |
$662 |
$376 |
$129 | |
| Abscess incision and drainage |
$696 |
$696 |
$467 |
$174 | |
| Albumin blood test |
$59 |
$59 |
$6 |
$5 | |
| Aldosterone test |
$27 |
$27 |
$22 |
$41 | |
| Alkaline phosphatase test |
$23 |
$23 |
$7 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$84 |
$84 |
$16 |
$17 | |
| ALT liver enzyme test |
$56 |
$56 |
$7 |
$5 | |
| Ammonia blood test |
$288 |
$288 |
$130 |
$15 | |
| Amniocentesis |
$393 |
$393 |
$393 |
$120 | |
| Amylase test |
$184 |
$184 |
$18 |
$6 | |
| Anoscopy |
$411 |
$411 |
$267 |
$129 | |
| Antinuclear antibody (ANA) test |
$40 |
$40 |
$12 |
$12 | |
| Aortic aneurysm repair (AAA) |
$8,968 |
$8,968 |
$6,726 |
$1,345 | |
| Aortic valve replacement |
$7,280 |
$7,280 |
$6,188 |
$1,603 | |
| Arterial blood gas (ABG) |
$352 |
$352 |
$158 |
$26 | |
| AST liver enzyme test |
$108 |
$108 |
$49 |
$5 | |
| Barium swallow study |
$1,312 |
$1,312 |
$531 |
$107 | |
| Basic metabolic panel |
$605 |
$605 |
$198 |
$8 | |
| Bilirubin blood test |
$146 |
$146 |
$7 |
$5 | |
| Bladder function test (urodynamics) |
$1,099 |
$1,099 |
$728 |
$345 | |
| Bladder scope (cystoscopy) |
$2,124 |
$2,124 |
$1,317 |
$216 | |
| Blood clotting test (PT/INR) |
$217 |
$217 |
$5 |
$4 | |
| Blood crossmatch |
$339 |
$339 |
$222 |
— | |
| Blood glucose test |
$70 |
$70 |
$32 |
$5 | |
| Blood transfusion |
$1,143 |
$1,143 |
$743 |
$47 | |
| Blood type and screen |
$207 |
$207 |
$57 |
$10 | |
| Blood type test |
$104 |
$104 |
$51 |
$3 | |
| Blood type test (ABO group) |
$100 |
$100 |
$124 |
$3 | |
| Blood type test (Rh/D antigen) |
$104 |
$104 |
$44 |
$3 | |
| BNP (heart failure) test |
$398 |
$398 |
$179 |
$39 | |
| Bone density scan (DEXA) |
$754 |
$754 |
$338 |
$39 | |
| Bone marrow biopsy |
$4,722 |
$4,722 |
$3,033 |
$172 | |
| Bone scan (nuclear) |
$3,169 |
$3,169 |
$1,010 |
$259 | |
| Breast biopsy |
$5,566 |
$5,566 |
$2,725 |
$478 | |
| Breast MRI |
$2,613 |
$2,613 |
$1,747 |
$216 | |
| Breast MRI without contrast |
$6,673 |
$6,673 |
$1,677 |
$216 | |
| Breast ultrasound |
$1,043 |
$1,043 |
$373 |
$92 | |
| Breast ultrasound (complete) |
$1,304 |
$1,304 |
$396 |
$100 | |
| Breast ultrasound (limited) |
$782 |
$782 |
$352 |
$84 | |
| Breathing tube insertion (intubation) |
$1,323 |
$1,323 |
$599 |
$133 | |
| Bronchoscopy |
$2,524 |
$2,524 |
$2,145 |
$303 | |
| C-reactive protein (CRP) |
$97 |
$97 |
$7 |
$5 | |
| CA 19-9 tumor marker test |
$86 |
$86 |
$48 |
$21 | |
| CA-125 ovarian marker test |
$84 |
$84 |
$48 |
$21 | |
| Calcium blood test |
$54 |
$54 |
$24 |
$5 | |
| Capsule endoscopy |
$2,070 |
$2,070 |
$1,013 |
$802 | |
| Cardiac ablation |
$56,794 |
$56,794 |
$34,119 |
$759 | |
| Cardiac catheterization |
$23,075 |
$23,075 |
$8,464 |
$1,049 | |
| Cardiac MRI |
$1,729 |
$1,729 |
$889 |
$322 | |
| Cardiac MRI without contrast |
$1,367 |
$1,367 |
$820 |
$280 | |
| Cardiac rehabilitation |
$474 |
$474 |
$289 |
$26 | |
| Cardiac stress test |
$2,162 |
$2,162 |
$973 |
$39 | |
| Cardioversion |
$2,108 |
$2,108 |
$1,265 |
$155 | |
| Carotid artery ultrasound |
$1,927 |
$1,927 |
$809 |
$156 | |
| CEA tumor marker test |
$17 |
$17 |
$17 |
$19 | |
| Celiac disease test |
$23 |
$23 |
$14 |
$12 | |
| Central line placement |
$3,222 |
$3,222 |
$3,222 |
$238 | |
| Cervical LEEP procedure |
$6,558 |
$6,558 |
$4,226 |
$325 | |
| Cesarean section (C-section) |
— |
— |
$10,356 |
$7,552 | |
| Chemotherapy infusion |
$983 |
$983 |
$412 |
$81 | |
| Chemotherapy infusion (each additional) |
$686 |
$686 |
$309 |
$28 | |
| Chemotherapy infusion (first hour) |
$1,279 |
$1,279 |
$576 |
$133 | |
| Chest fluid drain (thoracentesis) |
$811 |
$811 |
$694 |
$311 | |
| Chest tube insertion |
$1,459 |
$1,459 |
$1,459 |
$143 | |
| Chest X-ray |
$743 |
$743 |
$162 |
$37 | |
| Chest X-ray (1 view) |
$694 |
$694 |
$312 |
$25 | |
| Chest X-ray (2 views) |
$791 |
$791 |
$356 |
$33 | |
| Chickenpox (varicella) vaccine |
$427 |
$427 |
$299 |
— | |
| Circumcision |
$4,000 |
$4,000 |
$2,700 |
$167 | |
| CK-MB heart enzyme test |
$326 |
$326 |
$147 |
$12 | |
| Clotting time test (PTT) |
$179 |
$179 |
$6 |
$6 | |
| Colonoscopy |
$2,515 |
$2,515 |
$1,562 |
$480 | |
| Colposcopy |
$704 |
$704 |
$477 |
$161 | |
| Complete blood count (CBC) |
$294 |
$294 |
$19 |
$7 | |
| Complete blood count (CBC) (complete) |
$315 |
$315 |
$19 |
$8 | |
| Comprehensive metabolic panel |
$962 |
$962 |
$294 |
$11 | |
| Contraceptive implant (Nexplanon) |
$676 |
$676 |
$507 |
$115 | |
| Copper blood test |
$10 |
$10 |
$10 |
$12 | |
| Coronary artery bypass (CABG) |
— |
— |
$43,461 |
$36,593 | |
| Coronary CT angiography |
$4,088 |
$4,088 |
$1,249 |
$326 | |
| Cortisol test |
$159 |
$159 |
$61 |
$16 | |
| COVID-19 PCR test |
$133 |
$133 |
$78 |
$51 | |
| CPAP titration study |
$925 |
$925 |
$488 |
$69 | |
| Creatine kinase (CK) test |
$226 |
$226 |
$102 |
$7 | |
| CT angiography of the chest |
$4,661 |
$4,661 |
$1,096 |
$281 | |
| CT angiography of the head |
$4,177 |
$4,177 |
$1,096 |
$274 | |
| CT scan of the abdomen |
$4,298 |
$4,298 |
$1,096 |
$230 | |
| CT scan of the abdomen and pelvis |
$8,340 |
$8,340 |
$1,249 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$9,574 |
$9,574 |
$1,249 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$8,340 |
$8,340 |
$1,249 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$7,702 |
$7,702 |
$1,249 |
$183 | |
| CT scan of the abdomen with and without contrast |
$4,728 |
$4,728 |
$1,096 |
$259 | |
| CT scan of the abdomen with contrast |
$4,298 |
$4,298 |
$1,096 |
$230 | |
| CT scan of the abdomen without contrast |
$4,140 |
$4,140 |
$1,096 |
$136 | |
| CT scan of the arm |
$5,266 |
$5,266 |
$1,096 |
$199 | |
| CT scan of the arm with contrast |
$6,178 |
$6,178 |
$1,096 |
$199 | |
| CT scan of the arm without contrast |
$3,796 |
$3,796 |
$1,096 |
$161 | |
| CT scan of the chest |
$4,130 |
$4,130 |
$1,096 |
$167 | |
| CT scan of the chest with and without contrast |
$4,466 |
$4,466 |
$1,096 |
$196 | |
| CT scan of the chest with contrast |
$4,130 |
$4,130 |
$1,096 |
$167 | |
| CT scan of the chest without contrast |
$3,718 |
$3,718 |
$1,096 |
$133 | |
| CT scan of the head |
$3,373 |
$3,373 |
$1,096 |
$148 | |
| CT scan of the head with and without contrast |
$3,965 |
$3,965 |
$1,096 |
$173 | |
| CT scan of the head with contrast |
$3,595 |
$3,595 |
$1,096 |
$148 | |
| CT scan of the head without contrast |
$3,133 |
$3,133 |
$1,096 |
$107 | |
| CT scan of the leg |
$4,637 |
$4,637 |
$1,096 |
$166 | |
| CT scan of the leg with contrast |
$4,637 |
$4,637 |
$1,096 |
$166 | |
| CT scan of the leg without contrast |
$4,519 |
$4,519 |
$1,096 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$3,686 |
$3,686 |
$1,096 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$4,015 |
$4,015 |
$1,096 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$3,686 |
$3,686 |
$1,096 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$3,420 |
$3,420 |
$1,096 |
$130 | |
| CT scan of the neck |
$3,870 |
$3,870 |
$1,096 |
$183 | |
| CT scan of the neck (cervical spine) |
$3,660 |
$3,660 |
$1,096 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$4,027 |
$4,027 |
$1,096 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$3,660 |
$3,660 |
$1,096 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$3,467 |
$3,467 |
$1,096 |
$131 | |
| CT scan of the neck with and without contrast |
$4,271 |
$4,271 |
$1,096 |
$220 | |
| CT scan of the neck with contrast |
$3,870 |
$3,870 |
$1,096 |
$183 | |
| CT scan of the neck without contrast |
$3,582 |
$3,582 |
$1,096 |
$150 | |
| CT scan of the pelvis |
$4,444 |
$4,444 |
$1,096 |
$226 | |
| CT scan of the pelvis with and without contrast |
$4,847 |
$4,847 |
$1,096 |
$251 | |
| CT scan of the pelvis with contrast |
$4,042 |
$4,042 |
$1,096 |
$226 | |
| CT scan of the pelvis without contrast |
$3,561 |
$3,561 |
$1,096 |
$133 | |
| CT scan of the sinuses |
$3,675 |
$3,675 |
$1,096 |
$152 | |
| CT scan of the sinuses with and without contrast |
$4,082 |
$4,082 |
$1,096 |
$184 | |
| CT scan of the sinuses with contrast |
$3,675 |
$3,675 |
$1,096 |
$152 | |
| CT scan of the sinuses without contrast |
$3,312 |
$3,312 |
$1,096 |
$128 | |
| D-dimer test |
$419 |
$419 |
$180 |
$10 | |
| Defibrillator (ICD) implant |
$52,760 |
$52,760 |
$32,779 |
$798 | |
| Diagnostic mammogram |
$629 |
$629 |
$283 |
$140 | |
| Drug screen (urine) |
$208 |
$208 |
$69 |
$17 | |
| Echocardiogram |
$1,306 |
$1,306 |
$870 |
$138 | |
| Echocardiogram with and without contrast |
$1,306 |
$1,306 |
$614 |
$101 | |
| EEG (awake and asleep) |
$1,929 |
$1,929 |
$854 |
$482 | |
| EKG / ECG (tracing only) |
$562 |
$562 |
$253 |
$7 | |
| Electrocardiogram (EKG) |
$562 |
$562 |
$253 |
$8 | |
| Electroencephalogram (EEG) |
$1,720 |
$1,720 |
$794 |
$448 | |
| Electrolyte panel |
$274 |
$274 |
$123 |
$7 | |
| Emergency department visit |
$1,859 |
$1,859 |
$716 |
$69 | |
| Emergency department visit (level 1) |
$735 |
$735 |
$441 |
$11 | |
| Emergency department visit (level 2) |
$955 |
$955 |
$500 |
$40 | |
| Emergency department visit (level 3) |
$1,859 |
$1,859 |
$836 |
$69 | |
| Emergency department visit (level 4) |
$2,481 |
$2,481 |
$1,117 |
$118 | |
| Emergency department visit (level 5) |
$3,230 |
$3,230 |
$1,454 |
$171 | |
| Endometrial biopsy |
$426 |
$426 |
$320 |
$98 | |
| Epidural steroid injection |
$4,199 |
$4,199 |
$1,585 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,562 |
$5,562 |
$4,026 |
$311 | |
| Esophageal dilation |
$1,937 |
$1,937 |
$1,356 |
$522 | |
| Esophageal variceal banding |
$2,355 |
$2,355 |
$2,004 |
$126 | |
| Estradiol (estrogen) test |
$19 |
$19 |
$19 |
$28 | |
| Facet joint injection (spine) |
$958 |
$958 |
$924 |
$99 | |
| Fallopian tube X-ray (HSG) |
$567 |
$567 |
$255 |
$164 | |
| Family therapy session |
$333 |
$333 |
$233 |
$110 | |
| Fecal occult blood (stool) test |
$58 |
$58 |
$30 |
$10 | |
| Fecal occult blood (stool) test (guaiac, gFOBT) |
$68 |
$68 |
$31 |
$4 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$47 |
$47 |
$30 |
$16 | |
| Feeding tube (PEG) placement |
$2,355 |
$2,355 |
$2,004 |
$178 | |
| Ferritin (iron) test |
$250 |
$250 |
$112 |
$14 | |
| Fibrinogen test |
$151 |
$151 |
$68 |
$10 | |
| Flexible sigmoidoscopy |
$1,090 |
$1,090 |
$1,039 |
$323 | |
| Flu test |
$54 |
$54 |
$30 |
$17 | |
| Folate (folic acid) test |
$250 |
$250 |
$112 |
$15 | |
| Foreign body removal (skin) |
$785 |
$785 |
$531 |
$157 | |
| Free T4 thyroid test |
$124 |
$124 |
$10 |
$9 | |
| FSH hormone test |
$17 |
$17 |
$12 |
$19 | |
| Gallbladder scan (HIDA) |
$2,617 |
$2,617 |
$1,178 |
$334 | |
| GGT liver test |
$123 |
$123 |
$10 |
$7 | |
| Glucose tolerance test |
$199 |
$199 |
$48 |
$8 | |
| HDL cholesterol test |
$71 |
$71 |
$10 |
$8 | |
| Hematocrit test |
$60 |
$60 |
$27 |
$2 | |
| Hemoglobin A1c (diabetes test) |
$71 |
$71 |
$32 |
$10 | |
| Hemorrhoid removal |
$3,273 |
$3,273 |
$1,818 |
$338 | |
| Hepatitis A vaccine |
$248 |
$248 |
$174 |
— | |
| Hepatitis B test |
$67 |
$67 |
$30 |
$10 | |
| Hepatitis B vaccine |
$208 |
$208 |
$127 |
— | |
| Hepatitis C test |
$148 |
$148 |
$67 |
$14 | |
| HIV test |
$76 |
$76 |
$45 |
$19 | |
| HIV test (antibody) |
$77 |
$77 |
$35 |
$14 | |
| HIV test (antigen/antibody combo) |
$75 |
$75 |
$49 |
$24 | |
| Holter heart monitor |
$1,622 |
$1,622 |
$616 |
$26 | |
| Hysteroscopy |
$6,558 |
$6,558 |
$4,226 |
$1,270 | |
| Iron blood test |
$138 |
$138 |
$61 |
$6 | |
| IUD removal |
$704 |
$704 |
$477 |
$112 | |
| IV infusion therapy |
$576 |
$576 |
$232 |
$44 | |
| IV infusion therapy (each additional) |
$312 |
$312 |
$141 |
$21 | |
| IV infusion therapy (initial) |
$840 |
$840 |
$353 |
$67 | |
| IVC filter placement |
$6,958 |
$6,958 |
$5,914 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$781 |
$781 |
$484 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$583 |
$583 |
$414 |
$57 | |
| Joint aspiration or injection (small joint) |
$979 |
$979 |
$636 |
$56 | |
| Kidney biopsy |
$1,391 |
$1,391 |
$1,391 |
$492 | |
| Kidney scan (nuclear) |
$3,302 |
$3,302 |
$1,418 |
$172 | |
| Kidney ultrasound |
$1,367 |
$1,367 |
$441 |
$84 | |
| Kidney ultrasound (limited) |
$1,291 |
$1,291 |
$441 |
$61 | |
| Knee joint injection |
$877 |
$877 |
$570 |
$69 | |
| Knee replacement |
— |
— |
$21,619 |
$18,054 | |
| Lactate test |
$268 |
$268 |
$15 |
$12 | |
| Laryngoscopy |
$426 |
$426 |
$302 |
$189 | |
| LDH test |
$129 |
$129 |
$58 |
$6 | |
| LDL cholesterol test |
$6 |
$6 |
$6 |
$11 | |
| Leg artery angiogram |
$4,169 |
$4,169 |
$3,297 |
$149 | |
| Leg artery angioplasty |
$20,499 |
$20,499 |
$12,055 |
— | |
| Leg vein ultrasound (Doppler) |
$1,844 |
$1,844 |
$649 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$1,526 |
$1,526 |
$641 |
$116 | |
| Lipid (cholesterol) panel |
$251 |
$251 |
$13 |
$13 | |
| Liver biopsy |
$1,791 |
$1,791 |
$1,725 |
$288 | |
| Liver function panel |
$696 |
$696 |
$239 |
$8 | |
| Lower back (lumbar) spinal fusion |
— |
— |
$34,266 |
$1,511 | |
| Lung function test (PFT) |
$693 |
$693 |
$262 |
$37 | |
| Lung scan (V/Q) |
$1,938 |
$1,938 |
$1,163 |
$291 | |
| Magnesium blood test |
$197 |
$197 |
$15 |
$7 | |
| MMR vaccine |
$235 |
$235 |
$176 |
— | |
| MRA of the brain |
$5,388 |
$5,388 |
$1,677 |
$226 | |
| MRA of the brain without contrast |
$5,681 |
$5,681 |
$1,677 |
$328 | |
| MRA of the neck |
$4,879 |
$4,879 |
$1,677 |
$245 | |
| MRA of the neck with contrast |
$4,879 |
$4,879 |
$1,677 |
$245 | |
| MRA of the neck without contrast |
$5,465 |
$5,465 |
$1,677 |
$343 | |
| MRI of the abdomen |
$4,748 |
$4,748 |
$1,677 |
$300 | |
| MRI of the abdomen without contrast |
$4,634 |
$4,634 |
$1,677 |
$194 | |
| MRI of the ankle |
$5,214 |
$5,214 |
$1,677 |
$261 | |
| MRI of the ankle with contrast |
$5,214 |
$5,214 |
$1,677 |
$261 | |
| MRI of the ankle without contrast |
$4,570 |
$4,570 |
$1,677 |
$222 | |
| MRI of the brain |
$5,232 |
$5,232 |
$1,677 |
$269 | |
| MRI of the brain with contrast |
$5,142 |
$5,142 |
$1,677 |
$269 | |
| MRI of the brain without contrast |
$4,710 |
$4,710 |
$1,677 |
$195 | |
| MRI of the chest |
$4,888 |
$4,888 |
$1,677 |
$371 | |
| MRI of the chest without contrast |
$5,474 |
$5,474 |
$1,677 |
$466 | |
| MRI of the knee |
$4,927 |
$4,927 |
$1,748 |
$315 | |
| MRI of the knee with contrast |
$4,570 |
$4,570 |
$1,888 |
$315 | |
| MRI of the knee without contrast |
$4,927 |
$4,927 |
$1,677 |
$204 | |
| MRI of the lower back (lumbar spine) |
$5,614 |
$5,614 |
$1,677 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$5,614 |
$5,614 |
$1,677 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$5,314 |
$5,314 |
$1,677 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$5,614 |
$5,614 |
$1,677 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$8,590 |
$8,590 |
$1,677 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$5,614 |
$5,614 |
$1,677 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$5,314 |
$5,314 |
$1,677 |
$190 | |
| MRI of the neck (cervical spine) |
$5,614 |
$5,614 |
$1,677 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$8,590 |
$8,590 |
$1,677 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$5,614 |
$5,614 |
$1,677 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$5,314 |
$5,314 |
$1,677 |
$191 | |
| MRI of the pelvis |
$5,614 |
$5,614 |
$1,677 |
$268 | |
| MRI of the pelvis with contrast |
$5,614 |
$5,614 |
$1,565 |
$268 | |
| MRI of the pelvis without contrast |
$4,919 |
$4,919 |
$1,677 |
$227 | |
| MRI of the shoulder |
$5,320 |
$5,320 |
$1,748 |
$313 | |
| MRI of the shoulder with contrast |
$5,912 |
$5,912 |
$1,981 |
$313 | |
| MRI of the shoulder without contrast |
$5,320 |
$5,320 |
$1,677 |
$205 | |
| MRI of the wrist |
$5,945 |
$5,945 |
$1,677 |
$330 | |
| MRI of the wrist without contrast |
$5,320 |
$5,320 |
$1,677 |
$303 | |
| Nebulizer breathing treatment |
$328 |
$328 |
$240 |
$9 | |
| Nuclear cardiac stress test |
$7,524 |
$7,524 |
$2,871 |
$428 | |
| Occupational therapy evaluation |
$646 |
$646 |
$291 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$905 |
$905 |
$389 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$646 |
$646 |
$291 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$776 |
$776 |
$334 |
$101 | |
| Pacemaker insertion |
— |
— |
$18,650 |
$15,506 | |
| Parathyroid hormone (PTH) test |
$240 |
$240 |
$108 |
$41 | |
| Pelvic ultrasound |
$1,119 |
$1,119 |
$386 |
$78 | |
| Pelvic ultrasound (complete) |
$1,254 |
$1,254 |
$441 |
$105 | |
| Pelvic ultrasound (limited) |
$985 |
$985 |
$386 |
$51 | |
| PET scan |
$6,746 |
$6,746 |
$3,115 |
— | |
| Phosphorus blood test |
$153 |
$153 |
$68 |
$5 | |
| Physical therapy evaluation |
$670 |
$670 |
$288 |
$98 | |
| Physical therapy evaluation (high complexity) |
$938 |
$938 |
$253 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$804 |
$804 |
$253 |
$98 | |
| Platelet count |
$153 |
$153 |
$70 |
$4 | |
| Pneumonia vaccine |
$331 |
$331 |
$166 |
— | |
| Pregnancy ultrasound |
$1,147 |
$1,147 |
$441 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$1,027 |
$1,027 |
$441 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$1,267 |
$1,267 |
$441 |
$136 | |
| Procalcitonin test |
$106 |
$106 |
$66 |
$27 | |
| Prolactin test |
$225 |
$225 |
$76 |
$19 | |
| Prostate biopsy |
$1,614 |
$1,614 |
$1,735 |
— | |
| Prostate test (PSA) |
$78 |
$78 |
$28 |
$18 | |
| Psychiatric evaluation |
$328 |
$328 |
$195 |
$188 | |
| Psychotherapy session |
$328 |
$328 |
$226 |
$140 | |
| Rheumatoid factor test |
$158 |
$158 |
$71 |
$6 | |
| Sacroiliac joint injection |
$909 |
$909 |
$909 |
$176 | |
| Scoliosis spine X-ray |
$668 |
$668 |
$223 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$318 |
$318 |
$191 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$1,017 |
$1,017 |
$458 |
$72 | |
| Screening mammogram |
$437 |
$437 |
$213 |
$126 | |
| Scrotal ultrasound |
$1,078 |
$1,078 |
$441 |
$99 | |
| Sedimentation rate (ESR) test |
$9 |
$9 |
$6 |
$3 | |
| Sex hormone binding globulin test |
$40 |
$40 |
$28 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$239 |
$239 |
$220 |
$114 | |
| Simple wound stitches |
$239 |
$239 |
$220 |
$127 | |
| Skin biopsy |
$625 |
$625 |
$656 |
$121 | |
| Skin biopsy (punch) |
$1,008 |
$1,008 |
$655 |
$121 | |
| Skin tag removal |
$312 |
$312 |
$234 |
$92 | |
| Sleep study (polysomnography) |
$9,929 |
$9,929 |
$2,370 |
$691 | |
| Soft tissue ultrasound |
$607 |
$607 |
$273 |
$64 | |
| Speech therapy |
$218 |
$218 |
$153 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,586 |
$1,586 |
$952 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$19,421 |
$19,421 |
$8,739 |
$5,803 | |
| Spirometry (lung function test) |
$337 |
$337 |
$208 |
$30 | |
| Spirometry with bronchodilator |
$1,049 |
$1,049 |
$485 |
$43 | |
| Strep throat test |
$293 |
$293 |
$126 |
$17 | |
| Stress echocardiogram |
$3,804 |
$3,804 |
$1,331 |
$209 | |
| Stress echocardiogram (complete) |
$2,041 |
$2,041 |
$1,227 |
$233 | |
| Swallow study |
$670 |
$670 |
$352 |
$85 | |
| T3 thyroid test |
$45 |
$45 |
$22 |
$14 | |
| Tdap (tetanus) vaccine |
$142 |
$142 |
$107 |
— | |
| Testosterone test |
$34 |
$34 |
$31 |
$26 | |
| Thyroid test (TSH) |
$263 |
$263 |
$118 |
$17 | |
| Thyroid ultrasound |
$1,114 |
$1,114 |
$441 |
$109 | |
| Thyroid uptake scan |
$2,313 |
$2,313 |
$1,041 |
$145 | |
| Tilt table test |
$2,172 |
$2,172 |
$1,303 |
$168 | |
| Total IgE allergy test |
$135 |
$135 |
$18 |
$16 | |
| Total protein test |
$96 |
$96 |
$43 |
$4 | |
| Tracheostomy |
$4,518 |
$4,518 |
$3,462 |
$273 | |
| Transesophageal echocardiogram (TEE) |
$4,518 |
$4,518 |
$1,923 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$4,518 |
$4,518 |
$1,923 |
$239 | |
| Transvaginal ultrasound |
$1,036 |
$1,036 |
$441 |
$118 | |
| Trigger point injection |
$1,179 |
$1,179 |
$499 |
$56 | |
| Trigger point injection (1-2 muscles) |
$601 |
$601 |
$427 |
$52 | |
| Triglycerides test |
$8 |
$8 |
$6 |
$6 | |
| Troponin (heart) test |
$377 |
$377 |
$170 |
$12 | |
| Turning a breech baby (version) |
$1,959 |
$1,959 |
$1,959 |
$94 | |
| Upper GI endoscopy (EGD) |
$2,355 |
$2,355 |
$1,460 |
$371 | |
| Upper GI series (barium) |
$2,153 |
$2,153 |
$711 |
$128 | |
| Uric acid (gout) test |
$137 |
$137 |
$62 |
$5 | |
| Urinalysis |
$289 |
$289 |
$110 |
$3 | |
| Urine microalbumin test |
$97 |
$97 |
$41 |
$5 | |
| Urine pregnancy test |
$164 |
$164 |
$74 |
$9 | |
| Vaccine administration |
$102 |
$102 |
$71 |
$19 | |
| Vaccine administration (each additional) |
$45 |
$45 |
$38 |
$16 | |
| Vaginal delivery |
— |
— |
$7,849 |
$5,487 | |
| Vitamin B12 test |
$250 |
$250 |
$112 |
$15 | |
| Vitamin D test |
$120 |
$120 |
$68 |
$30 | |
| Weight-loss (bariatric) surgery |
— |
— |
$16,500 |
$11,645 | |
| Wound debridement |
$953 |
$953 |
$751 |
$186 | |
| X-ray of the abdomen |
$510 |
$510 |
$136 |
$36 | |
| X-ray of the ankle |
$904 |
$904 |
$387 |
$37 | |
| X-ray of the collarbone |
$758 |
$758 |
$341 |
$33 | |
| X-ray of the elbow |
$716 |
$716 |
$322 |
$33 | |
| X-ray of the facial bones |
$1,051 |
$1,051 |
$469 |
$39 | |
| X-ray of the foot |
$775 |
$775 |
$349 |
$34 | |
| X-ray of the forearm |
$748 |
$748 |
$337 |
$29 | |
| X-ray of the hand |
$823 |
$823 |
$370 |
$38 | |
| X-ray of the hip |
$922 |
$922 |
$401 |
$49 | |
| X-ray of the hip (1 view) |
$922 |
$922 |
$396 |
$34 | |
| X-ray of the hip (3 views) |
$907 |
$907 |
$404 |
$49 | |
| X-ray of the knee |
$594 |
$594 |
$279 |
$42 | |
| X-ray of the knee (2 views) |
$594 |
$594 |
$267 |
$34 | |
| X-ray of the knee (3 views) |
$686 |
$686 |
$309 |
$42 | |
| X-ray of the knee (4+ views) |
$780 |
$780 |
$351 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$1,258 |
$1,258 |
$434 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$957 |
$957 |
$431 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$1,560 |
$1,560 |
$671 |
$53 | |
| X-ray of the lower leg |
$777 |
$777 |
$350 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$1,200 |
$1,200 |
$460 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$1,200 |
$1,200 |
$460 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$1,200 |
$1,200 |
$460 |
$39 | |
| X-ray of the neck (cervical spine) |
$855 |
$855 |
$385 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$855 |
$855 |
$385 |
$40 | |
| X-ray of the pelvis |
$750 |
$750 |
$337 |
$36 | |
| X-ray of the pelvis (1 view) |
$750 |
$750 |
$337 |
$28 | |
| X-ray of the ribs |
$1,170 |
$1,170 |
$446 |
$42 | |
| X-ray of the ribs (2 views) |
$949 |
$949 |
$427 |
$36 | |
| X-ray of the ribs (3 views) |
$1,345 |
$1,345 |
$478 |
$42 | |
| X-ray of the shoulder |
$855 |
$855 |
$385 |
$36 | |
| X-ray of the skull |
$653 |
$653 |
$294 |
$40 | |
| X-ray of the upper arm |
$825 |
$825 |
$368 |
$32 | |
| X-ray of the wrist |
$826 |
$826 |
$372 |
$43 | |
| Zinc blood test |
$18 |
$18 |
$12 |
$11 | |